NPIMap

Organization Active NPI

Heartland EMS Inc

Doing business as Heartland EMS Inc Pulaski Transfer

  • Land Ambulance
  • Hawkinsville, GA
National Provider Identifier
1609325018
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
012-04 Issued in GA
Legal business name
HEARTLAND EMS INC
Doing business as
Heartland EMS Inc Pulaski Transfer
Practice address
16 Old Perry Hwy
Hawkinsville, GA 31036-6709
Phone
(478) 934-1133
NPI assigned
Sep 27, 2016
Last updated
Sep 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Krista Smith
Title
Billing Supervisor
Phone
(478) 934-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 012-04 GA Primary

Addresses

Primary practice location

16 Old Perry Hwy
Hawkinsville, GA 31036-6709

Mailing address

256 Lucas Rd
PO Box 636
Cochran, GA 31014-2247

Other names 1

  • Heartland EMS Inc Pulaski Transfer Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000900 GA Part B Supplier - Ambulance Service Supplier 0547220121 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cochran, GA; Dublin, GA; Hawkinsville, GA

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Heartland EMS Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2903 Kemble Ave
Brunswick, GA 31520
Phone (478) 271-1133

3104 Shrine Rd
Brunswick, GA 31520
Phone (912) 265-1300

267 Hwy 87 Byp N
Cochran, GA 31014

299 Highway 87 Byp N
Cochran, GA 31014

3102 Bellwood Rd
Mc Intyre, GA 31054
Phone (478) 271-1133

8154 GA Highway 57
Mc Intyre, GA 31054
Phone (478) 946-3921

555 Charlie Smith SR Hwy
Ste 12
Saint Marys, GA 31558
Phone (478) 271-1133

1909 Tebeau St
Waycross, GA 31501
Phone (478) 271-1133

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1609325018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 LUCAS RD",
            "address_2": "PO BOX 636",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310142247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OLD PERRY HWY",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310366709",
            "telephone_number": "478-934-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "478-934-1133"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "012-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland EMS Inc Pulaski Transfer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.